A case of gastric syphilis with neurosyphilis presented as epigastric pain.
Gastric syphilis has non-specific symptoms and various endoscopic and radiographic findings. Spirochetes are seen infrequently in biopsy specimens and the pathological findings are often non-specific. So it is very difficult to make a definitive diagnosis of gastric syphilis based on clinical symptoms and biopsy findings. We report the case of a gastric syphilis with neurosyphilis presented with epigastric pain. This case reminds us that gastric syphilis is one possibility in ulcerative gastric lesions.
Jeong
H W
HW
Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea. hwjeong@medimail.co.kr
Jeon
W J
WJ
Sung
R H
RH
D001706:Biopsy; D003937:Diagnosis, Differential; D020776:Endoscopes, Gastrointestinal / Q000382:microbiology; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000175:diagnosis*; D010146:Pain; D013270:Stomach / Q000473:pathology; D013272:Stomach Diseases / Q000473:pathology*; D013587:Syphilis / Q000175:diagnosis / Q000473:pathology; D013588:Syphilis Serodiagnosis; D014210:Treponema pallidum / Q000302:isolation & purification